My Home > Claim Forms & Envelopes > CMS 1500 Claim Forms "ICD-10" HCFA (Version 02/12)m Forms My Account | Cart Contents | Checkout
Welcome, Guest! (log in | Create Account
Categories
Meet or Beat Pricing
EMA Pathology Mod Med Label
HIPAA Patient Sign-in Sheets
NextGen EMR Pathology Label Forms
Self Adhesive Labels
Prescription Pads
Tamper Resistant EMR Laser/Ink Jet Rx Paper and Thermal Rolls
11 pt & 14 pt Manila Folders, Full Cut 2-Ply End Tab
End Tab Products
Top Tab Products
Indexes and Filebacks
Pressure Seal Checks/Forms
Appointment Cards
Claim Forms & Envelopes
CMS 1500 Claim Forms "ICD-10" HCFA (Version 02/12)m Forms
CMS ICD-10 Envelopes
Dental Claim Forms
Healthcare Claim Forms
Envelopes
Direct Mail
Post Cards
My Products
Tools and Help
About Us
Contact Us
Catalog Request
My Account
My Orders
Price Match

CMS 1500 Claim Forms "ICD-10" HCFA (Version 02/12)m Forms

100% guaranteed compliance. For physicians, the CMS 1500 meets The Centers for Medicare and Medicaid Services guidelines.
  • October 1, 2015: Claims should use ICD-10 codes, which can only be used on 02/12 CMS 1500 forms. (ICD-9 codes should no longer be in use, ICD-10 codes cannot be used on 08/05 CMS 1500 forms.)

Additional Details

TWI's extensive line of claim forms are available in laser cut sheets and continuous forms to meet your clients needs.

The NUCC approved the following transition timeline at its in-person meeting in Chicago, IL on August 1, 2013.

  • January 6, 2014: Payers begin receiving and processing paper claims submitted on the revised 1500 Claim Form (version 02/12).
  • January 6 through March 31, 2014: Dual use period during which payers continue to receive and process paper claims submitted on the old 1500 Claim Form (version 08/05).
  • April 1, 2014: Payers receive and process paper claims submitted only on the revised 1500 Claim Form (version 02/12).

This timeline aligns with Medicare’s transition timeline.

 Image   Part #   Product Name+   Price   Buy Now 
 CMS - 1450 Form  NLCF-UBO4  CMS - 1450 Form
(Click here for more details)
 $14.99 - $24.95 
 Buy Now 
 
 CMS 1500 Claim Forms "ICD-10" HCFA (Version 02/12)  WCMS-1500  CMS 1500 Claim Forms "ICD-10" HCFA (Version 02/12)
(Click here for more details)
 $12.95 - $19.95 
 Buy Now 
 
 CMS 1500 Claim Forms "ICD-10" HCFA (Version 02/12)-(WGP) 1000 qty  WCMS-1500 (WGP)  CMS 1500 Claim Forms "ICD-10" HCFA (Version 02/12)-(WGP) 1000 qty
(Click here for more details)
 $19.95 - $25.95 
 Buy Now 
 
Displaying 1 to 3 (of 3 products) Result Pages:  1 
Shopping Cart
0 items
Custom Dividers
Build Your Own
Custom Dividers
Custom Dividers
Custom Divider Wizard
Product Search
 

Search the product database by product name or part number.
Advanced Search
Most Popular
HIPAA Patient Sign-In Sheet
HIPAA Patient Sign-In Sheet
EMA Laser Pathology Label Forms
EMA Laser Pathology Label Forms
HIPAA Patient Bilingual Sign-In Sheet
HIPAA Patient Bilingual Sign-In Sheet
11 pt Color Folders, Full Cut 2-Ply End Tab, Letter Size, Fastener Pos #1 & #3 (Box of 50)
11 pt Color Folders, Full Cut 2-Ply End Tab, Letter Size, Fastener Pos #1 & #3 (Box of 50)
HIPAA Patient Sign-In Sheet
HIPAA Patient Sign-In Sheet